Ultrasound-Guided Female Equilibrated Minimal Muscularization and Enhancement (U-Femme)

Area of Science:

• Plastic Surgery
• Aesthetic Medicine
• Body Contouring

Background:

• High-definition liposculpture (HDL) has evolved to create more natural, muscular-defined results.
• Intramuscular fat grafting enhances contouring capabilities across various muscle groups.
• Subperiosteal fat grafting is established for facial applications.

Purpose of the Study:

• To describe a technique combining ultrasound (US)-guided subperiosteal lipoinjection of the anterior superior iliac spine (bikini bridge) and intramuscular fat grafting of the internal oblique muscles with HDL.
• To evaluate the safety and efficacy of this combined approach.

Main Methods:

• Retrospective cohort study across specialized plastic surgery centers.
• Inclusion of adult patients undergoing bikini bridge and dynamic definition liposculpture.
• Informed consent obtained for the innovative technique; descriptive statistical analysis performed.

Main Results:

• 105 consecutive patients included (86.7% female, 13.3% male).
• Mean age 34.3 years, median BMI 22.9 kg/m².
• Median fat injected: 15 cc for iliac spines, 40 cc for internal obliques; no major complications reported.

Conclusions:

• Ultrasound-guided intramuscular and subperiosteal fat grafting of the abdomen is safe and reproducible.
• The procedure yields a harmonious, athletic appearance with natural outcomes.
• High patient satisfaction and a very low complication rate were observed.